CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Medical City Lewisville

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $314
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Medical City Lewisville is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$314

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $314 (3234%)
Insurance Median: $15 (154%)
Cash: $314 (3234% of Medicare)
Ins. Median: $15 (154% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cook Childrens Health Plan $6 62%
Amerigroup $8 - $10 82%
Parkland Community Health Plan $8 82%
Texas Health Network $8 82%
United $8 - $62 82%
Aetna $9 - $228 93%
Cigna $9 - $53 93%
Molina $9 - $11 93%
American Health Plan Of Texas, Inc. $10 103%
Blue Cross Blue Shield $10 - $139 103%
Care N Care $10 103%
Devoted Health $10 103%
Humana $10 - $108 103%
Integranet $10 103%
Mutual Of Omaha $10 103%
Procare Advantge $10 103%
Provider Partners Health Plan $10 103%
Superior Health Plan $10 - $22 103%
Texas Independent Health Plan $10 103%
Triwest Health Alliance $10 103%
Wellcare $10 103%
Wellmed $10 103%
Imperial Insurance Company $11 113%
Universal Healthcare Group $12 124%
Verda Health Plan $13 134%
Bravo Health $15 154%
Superior $17 - $22 175%
Usa Managed Care $18 - $251 185%
Corvel Corporation $19 196%
Molina Healthcare $25 257%
Oscar $25 257%
Unicare $75 - $314 772%
Healthcare Highways $77 - $106 793%
Evry Health $81 834%
City Of Mckinney $141 1452%
Fidelis Securecare $141 1452%
National Choicecare $157 1617%
Pc Texas Partners $172 1771%
Physicians Coop Of Tx $172 1771%
Rockport Health Group $172 1771%
Averde Health, Inc $182 1874%
Usc Health Services $188 1936%
Coastal Comp Health Networks $219 2255%
Jostens $219 2255%
Mega Life $219 2255%
Multiplan Phcs $219 2255%
Healthsmart Preferred Care $235 2420%
Lewisville Isd/Dls Consulting $235 2420%
Galaxy Health Network $266 2739%
Independent Medical Systems $314 3234%
National Healthcare Solutions $314 3234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals